Active NPI
Brandon Timothy McDonald, DO
- Sports Medicine (Family Medicine) Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 40718
- Practice address
- 1005 E Cheves St
Florence, SC 29506-2707 - Phone
- (843) 777-7900
- Fax
- (843) 777-7925
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 40718 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 85773 | GA | |
| Family Medicine Physician | 207Q00000X | LL40718 | SC |
Addresses
Primary practice location
1005 E Cheves St
Florence, SC 29506-2707
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407189 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210722000885 | SC | Practitioner - Sports Medicine | 2961772827 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates IICora South Carolina LLC
Practice addresses (Care Compare)
1005 E Cheves St
Florence, SC 29506-2707
Phone (843) 777-7900
2724 W Palmetto St
Florence, SC 29501-4909
Phone (843) 292-1900
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- Musc Health Florence Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40718 | SC | MD | Emergency Medicine Physician |
| 85773 | GA | MD | Family Medicine Physician |
| 8577 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Family Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Family Medicine | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900
506 E Cheves St
#202
Florence, SC 29506
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Interoperability endpoints
- bmcdonald25200@directmcleodehealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Family Medicine, SC
-
- Rehabilitation Clinic/Center
- Murrells Inlet, SC
- NPI 1093123531
-
- Physical Therapy Clinic/Center
- Bluffton, SC
- NPI 1164923355
-
- Rehabilitation Clinic/Center
- Florence, SC
- NPI 1215492129
-
- Rehabilitation Clinic/Center
- Greenwood, SC
- NPI 1659871986
-
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1831828029
-
- Rehabilitation Clinic/Center
- North Charleston, SC
- NPI 1881177855
-
- Pediatrics Physician
- Dillon, SC
- NPI 1346344934
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
Hospital
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1346779477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7900",
"fax_number": "843-777-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062707",
"telephone_number": "843-777-7900",
"fax_number": "843-777-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "BRANDON",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "SC",
"license": "40718",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "85773",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL40718",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407189",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.